BACK BAY MD LLC
NPI 1972460244
Clinic/Center in Malden, MA
NPI Status: Active since January 07, 2026
Contact Information
578 MAIN ST UNIT B5
MALDEN, MA
ZIP 02148
Phone: (857) 200-8997
- Organization
- Clinic/Center
- CLIA Number: 22D2309338
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-12-2026
About BACK BAY MD LLC
This page provides the complete NPI Profile along with additional information for Back Bay Md Llc, a provider established in Malden, Massachusetts operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1972460244 assigned on January 2026. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated January 2026. The authorized official of this NPI record is Dr. Luis Henkel Md (Owner And Medical Director)
- NPI
- 1972460244
- Provider Name
- BACK BAY MD LLC
- Entity Type
- Organization
- Location Address
- 578 MAIN ST UNIT B5 MALDEN, MA 02148
- Location Phone
- (857) 200-8997
- Mailing Address
- 578 MAIN ST UNIT B5 MALDEN, MA 02148
- Mailing Phone
- (857) 200-8997
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 01-07-2026
- Last Update Date
- 01-07-2026
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 22D2309338
- Facility Type
- Physician Office
- Certificate Effective Date
- August 13, 2024
- Certificate Expiration Date
- August 12, 2026
- Laboratory Director
- DR. LUIS M. HENKEL
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Back Bay Md Llc in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Reviews for BACK BAY MD LLC
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1972460244, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1972460244, enumerated as an "organization" on January 07, 2026.
The provider is located at 578 MAIN ST UNIT B5 MALDEN, MA 02148 and the phone number is (857) 200-8997.
Clinic/Center with taxonomy code 261Q00000X.
